ETHAN LOUIS DUCLOS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025738

License Status

ACTIVE

Business

First Name

ETHAN

Middle

LOUIS

Last Name

DUCLOS

Business Name

ETHAN LOUIS DUCLOS

Original Issue Date

02/18/2021

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

09/04/2024